Active NPI
Marlisa Alexandra Camacho
- Behavior Technician
- Lake Elsinore, CA
National Provider Identifier
1841129483
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Behavior Technician
- License
- F7954854
- Practice address
- 15360 Darnell Dr
Lake Elsinore, CA 92530-5367 - Phone
- (714) 804-3930
- NPI assigned
- May 19, 2026
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Behavior Technician | 106S00000X | F7954854 | CA | Primary |
Addresses
Primary practice location
15360 Darnell Dr
Lake Elsinore, CA 92530-5367
Mailing address
15360 Darnell Dr
Lake Elsinore, CA 92530-5367
Phone (714) 804-3930
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| F7954854 | CA | MD | Behavior Technician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1779148800000",
"number": "1841129483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "15360 DARNELL DR",
"city": "LAKE ELSINORE",
"state": "CA",
"postal_code": "925305367",
"telephone_number": "714-804-3930"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15360 DARNELL DR",
"city": "LAKE ELSINORE",
"state": "CA",
"postal_code": "925305367",
"telephone_number": "714-804-3930"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CAMACHO",
"first_name": "MARLISA",
"middle_name": "ALEXANDRA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-05-19",
"last_updated": "2026-05-19",
"certification_date": "2026-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "106S00000X",
"taxonomy_group": "",
"desc": "Behavior Technician",
"state": "CA",
"license": "F7954854",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Lake Elsinore, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.